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B-2017-0823CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0823 21820 EATON PL CUPERTINO, CA 95014-1180 (326 19 122) F W H ACQUISITION CO LLC BOTHELL, WA 98011 OWNER'S NAME: SUN VIRGINIA W ET AL OWNER'S PHONE: 408-644-3243 LICENSED CONTRACTOR'S DECLARATION License Class C-38 Lic. #987398 Contractor F W H ACQUISITION CO LLC Date 10/31/2017 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is In full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations,/�per theCupertino Municipal Code, Section 9.18. Y/Signature Date 5/24/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. DATE ISSUED: 05/24/2017 PHONE NO: (425) 636-7078 BUILDING PERMIT INFO: X BLDG —ELECT X PLUMB _ MECH X RESIDENTIAL _ COMMERCLAL JOB DESCRIPTION: REPLACE 50 GAL WATER HEATER Sq. Ft Floor Area: I Valuation: $1924.45 "N Number: Occupancy Type: 32619 122 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Aycnde Date: 05/24/2017 All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 5/24/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. L � Owner or authorized agent: 0 Date: 5/24/2017 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Signature Date 5/24/201.1. Professional 05/22/2017 MON 9124 FAX Fast water Heater ""'/0" 6 2 P- C1 93775 GENERAL PERMIT APPLICATION ME P COMMUNITY DEVELOP6 ENTDEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 85014-3268 � •fA CUPERTINO (408) 777.3228•FAX (408)777 -3333 -bull dlnd a itlu.org misc MIA cr•-1113 it- 10 rWIIR >11nIFrr nllDkF:SS 21820 EATON PL ASN h41:1'111:c Tplr- ONVIR?IAME SUN, STEPHEN ''HOT' 4000443243 nuel¢1 nDlyxle 21820 EATON PL CUPERTINO CA 95014 FAX ---- -- MN'TACT NAME Katy Kehle FAST Water Heater 425-636-7084 Ir^IA'LKKehle@fastwaterheater.com 1 CTRRr_TADDRCSS 11715 N Creek Pkwy S, C-106 C17Y,57AFe, I1P Bothell WA 98011 F^a 0 iVIPLACIDA E'CCiN9A%C-VOkA01NT ❑ AkOtIrECI' ❑ijuiwL1'n ❑ DrvI!Lf r.H © XNANI [0NiItACFDkNAl4L FAST Water Heater I.IC'ENSENUMUTA 987398 F7ENSIS 1,'r�: C36 Il1,S.1.IC � � rl � Un collp.,rrr2;AME FAST Water Heater 1A 425-636.7085 S'IREIi'1'AUIJftI\Y 11715 N Creek Pkwy S, C-106 CITY,S'1'ATIi,lll' Bothell WA 98011 Ak llltttl'n,N61�G 7x41 L �.� ••- 11014% NI.I1-IIMt,1 ..""" fb lPnh11'NAME.' — — vL - hARAN, P"E425-636-7084 Iii IN, 1_ICk — I'AN —•4• Il\k 01, 51'17mllLPLEA Q mul.11.1 AeiiLY JSUIL!]1NC ❑ C4Ev:LHC1A1. J'8611 -CI IN v:n.w.AnD YCS L119IAI: WIVUACE. P.Iihk 1] NO I'IUnnmv 1'Lf=Awl Q l'F5 [] No IST11EnIDIAN kX-11L]:It 1k)} O (] Irl I)VIV 1I' I ION OI, =11Y Al ----_ L 41.1") Np - - lwm m vALuAFwN, $1,624.45 murhwi liYr . 13y Iny si�nuuur below• 1 cwtily to each u1'1hc following I um tbic property olvncr or nutllariicd neral la act an the props i owns 's. Winll:I I hnve mud this npltlicnlilrl rand tlrc infnnnaiilul l Itarc pmvidcrl is eou'cd. I lmrc IrnA ILc Dessliption of'JJmk caul verify it i9 nualance, I dgrur to comply Kith n11 uhplicnbie (uvlll oldi unncra and nlnle ImY5 ralidin% IVw1 11 1 •<ms1111eti1 1I 1 i IILh Irirc IcpltisenUltie, n u! Ctqurtu+o lu cltWr the abmv-idenlilicd property I7br wap x ion purpascs, Signntulr ofAppficantlArcnt. — __-- Dntc: _ 5I22I201 f SUPP).WENTAL INFORMATION REQUIRED OFI°ICF. UqC ONLA n- O+Itlt•IttY•YtJUI•I'"k � G 0 al'ItEm f� s'tnNnArtn—L1Y--- +❑ — L.11lL"i1 F1.WOld zilII.rroc I'LwS1'd iMs2111 J CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ingCa cupertino.org PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314, R315, 2016 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314, R315, and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) — (Smoke alarms shall not be located within 3 feet of bathroom door) X X On every level of a dwelling unit including basements and habitable attics X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below. Address: 2 SW C�%TN �� r CU//G'�' jc/U� Ctf el527 Permit No. � `l 7—,,J i Specify Number of Alarms: 4 Smoke Alarms: F_77 l # Carbon Monoxide Detectors: 1 have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: , �/7q Sionature ...........................Date:�/ ....�'e:............r�.�................................................... ...........1....... Contractor Name: Signature...................................................................... Lic.#........................................ Date:................... �/7 Smoke and COforrm.doc revised 0111012017 CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org Owner Name �1 Q41 All A ��� Permit No. Address 2-(e2-0 A7_0/1 rUf C , 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections. 1101.1 through 1.101.8 do not apply. Skip the rest of the form and sign bottom of form. C;,Pdo Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. ;I -Vo Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. D -NO Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? �o My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. ❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through. 1101.8 apply. Check one of the three following statements and sign bottom of fon-n.. 5. Please check ONE of the following: Q -14y property is a single faMily residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My propertyis a n7ultifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My propertyis a c0777777ercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 110 1. 1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the following Uage. Owner or Owner Agent's Signature: V/,• --thy-._ p Date: ad ;t? / 71 TTnnn cmmnletina anrd sianing this Certificate_ nlease ret4lrn it to the Ruilriino nivisinn in nrcder to final vrnrr hrnilrlina nPrmit SB407 2015 d0c revised 01/05/17 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the tigure snows, it is not requires to oe upgraueu. SB407 2015.doc revised 08/26/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) I Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 (Flow Rate Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi i In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 .gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi. Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the tigure snows, it is not requires to oe upgraueu. SB407 2015.doc revised 08/26/15